1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Dentist
  6. NPI Profile

ACCESS DENTAL OF BLOOMINGTON PLLC
NPI 1073272886
Dentist - General Practice in Bloomington, IL

Active since December 09, 2021
401 N VETERANS PKWY STE 4, BLOOMINGTON, IL 61704(469) 444-2818 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Access Dental Of Bloomington Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACCESS DENTAL OF BLOOMINGTON PLLC (NPI 1073272886) is a healthcare organization registered as a general practice in Bloomington, Illinois and active in the NPI registry since December 2021. The organization lists Andrea Carrillo, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1073272886
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameACCESS DENTAL OF BLOOMINGTON PLLC
Location Address401 N VETERANS PKWY STE 4Bloomington, IL 61704-7716
Mailing Address8150 Springwood Dr # 150bIrving, TX 75063-5810
Phone(469) 444-2818
Organization SubpartNo
Authorized OfficialAndrea CarrilloRegional Director · (512) 351-2612
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1073272886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
401 N VETERANS PKWY STE 4, Bloomington, IL 61704
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BHARATH VAMSI KRISHN SREEKANTAM DDS
Dentist (General Practice)
401 N VETERANS PKWY STE 4
BLOOMINGTON, IL 61704
McLean County (267) 394-3903
SRUTHA KEERTHI CHEBOLU
Dentist (General Practice)
401 N VETERANS PKWY STE 4
BLOOMINGTON, IL 61704
McLean County (309) 808-1317
OPTIM DENTAL BLOOMINGTON LLC
Dentist
401 N VETERANS PKWY STE 4
BLOOMINGTON, IL 61704
McLean County (217) 971-3432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Access Dental Of Bloomington PLLC's NPI number?

The NPI number for Access Dental Of Bloomington PLLC is 1073272886. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Access Dental Of Bloomington PLLC located?

Access Dental Of Bloomington PLLC is located at 401 N Veterans Pkwy Ste 4, Bloomington, IL 61704. The listed phone number is (469) 444-2818.

What is Access Dental Of Bloomington PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Access Dental Of Bloomington PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Access Dental Of Bloomington PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Access Dental Of Bloomington PLLC was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.